Vol 79, No 5 (2008)
ARTICLES
Three classes of pelvic and aortic lymphadenectomy in patients with cervical cancer
Bogdan Obrzut, Joanna Skręt-Magierło, Andrzej Skręt
Vol 79, No 5 (2008)
ARTICLES
Abstract
Abstract Currently, the extent of pelvic and aortic lymphadenectomy is currently described by numerous and ambiguous terms. The aim of this study is to present a classification of pelvic and aortic lymphadenectomy in cervical cancer patients. On the base of the data from the literature, pelvic and aortic lymphadenectomies have been assigned to three different classes, depending on surgical technique, the extent of the lymphadenectomy and the specificity of the removed lymph node groups. Class I equals removal of selected lymph nodes; Class II: removal of lymph nodes situated ventrally and laterally to large extraperitoneal vessels and the obturator nerve and of lymph nodes situated ventrally and laterally to the aorta and vena cava; Class III: total removal of lymphatic tissue around the iliac vessels and from the obturator fossa dorsally to the obturator nerve and from the presacral region and lymphatic tissue around the aorta and vena cava. The presented classification allows for a unequivocal assessment of pelvic and aortic lymphadenectomy.
Abstract
Abstract Currently, the extent of pelvic and aortic lymphadenectomy is currently described by numerous and ambiguous terms. The aim of this study is to present a classification of pelvic and aortic lymphadenectomy in cervical cancer patients. On the base of the data from the literature, pelvic and aortic lymphadenectomies have been assigned to three different classes, depending on surgical technique, the extent of the lymphadenectomy and the specificity of the removed lymph node groups. Class I equals removal of selected lymph nodes; Class II: removal of lymph nodes situated ventrally and laterally to large extraperitoneal vessels and the obturator nerve and of lymph nodes situated ventrally and laterally to the aorta and vena cava; Class III: total removal of lymphatic tissue around the iliac vessels and from the obturator fossa dorsally to the obturator nerve and from the presacral region and lymphatic tissue around the aorta and vena cava. The presented classification allows for a unequivocal assessment of pelvic and aortic lymphadenectomy.
Keywords
classification, lympadenectomy, Uterine cervical cancer
Title
Three classes of pelvic and aortic lymphadenectomy in patients with cervical cancer
Journal
Ginekologia Polska
Issue
Vol 79, No 5 (2008)
Page views
479
Article views/downloads
809
Bibliographic record
Ginekol Pol 2008;79(5).
Keywords
classification
lympadenectomy
Uterine cervical cancer
Authors
Bogdan Obrzut
Joanna Skręt-Magierło
Andrzej Skręt
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